Wish Mema

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

742276 Issued in TX

Legal business name

WISH MEMA

Practice address

1433 Wind Dancer TRL
Fort Worth, TX 76131-5416

Phone

(469) 223-9489

NPI assigned

Nov 17, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wish Mema, ACNP

Title

Nurse Practitioner

Phone

(469) 223-9489

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384646400000",
    "number": "1851721518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 WIND DANCER TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761315416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 WIND DANCER TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761315416",
            "telephone_number": "469-223-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISH MEMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-17",
        "last_updated": "2013-11-17",
        "status": "A",
        "authorized_official_last_name": "MEMA",
        "authorized_official_first_name": "WISH",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "469-223-9489",
        "authorized_official_credential": "ACNP"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "742276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Kathleen Wise, M.D.
• Joel Wise, PA
• Alyson Wiseman
• Cymone Wisemon
• Sheryl Sabillo Wiser, M.D.
• William R Witham, M.D.
• Erika Elizabeth Withers
• Rayshad Withrow, OTR
• James K Witschy, MD
• Haylee Witt, PMHNP-BC

• Health Maintenance Organization in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.